A nurse is planning interdisciplinary care for a client experiencing an exacerbation of myasthenia gravis. Which of the following information should the nurse plan to communicate to an occupational therapist?

Rationale: A. This option is incorrect because finding a support group is outside the occupational therapist’s scope of practice. Social workers or case managers are typically responsible for connecting clients to community resources, emotional support, and advocacy services. While occupational therapists may provide some psychosocial support during therapy, arranging support group access is not their primary role. B. This option is correct because difficulty grasping eating utensils is a problem related to fine motor skills, hand strength, and coordination, all of which fall within the occupational therapist’s scope. Clients with myasthenia gravis often experience muscle weakness, especially in the hands and arms, which can interfere with activities of daily living (ADLs) such as eating, grooming, dressing, and writing. The occupational therapist can assess the client’s functional abilities, recommend adaptive devices (e.g., built-up utensils, splints, or ergonomic tools), and provide exercises and strategies to improve independence and maintain safety. Communicating this information ensures that the occupational therapist can tailor interventions to the client’s specific needs. C. This option is incorrect because dysarthria, or difficulty with speech articulation, is the domain of a speech-language pathologist. Speech therapists evaluate and treat communication and swallowing disorders, not fine motor skill deficits. D. This option is incorrect because generalized weakness affecting ambulation is primarily addressed by a physical therapist. Physical therapy focuses on mobility, gait training, strengthening of large muscle groups, balance, and fall prevention. While occupational therapy may address some aspects of functional mobility, their main focus is on enabling the client to perform self-care and instrumental activities of daily living independently.